HomeMy WebLinkAbout05050113-Application Permit #' ~
City of Carmel~ Clay Township .
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
BUZLDER
RECORD:
PROPERTY
OWNER:
LOCATION
& PRO3ECT
INFO:
NAME
PHONE FAX
¢ CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKEr
NUMBERS: TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
[] SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:__
MULTI-FAMILY
# of Units:__
RESIDENTIAL (For
Additions, Remodels, Etc.)
SECTION ZONING:
ESTIMATED COST OF CONSTRUCT[ON:
(EXCLUDING LAND VALUE)
[] NEW STRUCTURE
~ ROOM ADDTr'[ON(S) Plumber's
[] PORCH ADDTI~ON(S)
[] REMODEL
[] ACCESSORY BUILDING Which
O DETACHED GARAGE
[] AITACHED GARAGE
[] DEMOLITION
(MultkFaml~y ~.~'.~e}~oea] Codes.
Manufactured
Y Trusses: Y__~N ¢e~~ CARMEL, DLAY ¥OWNSH~P
~ ~e: Y ~a sume Pump: ~ ~a ~D~
w~o~:_ Y ~N
~ s~c~, ~ ~ ~ v~ o~y ~mcdo~ commemc~
~ 180 days of t~ ~ of ~ce of the bufl~ ~t, ~d must be complet~ (~te of Occup~cy i~cd) ~t~ 18 monr~ of the
~ce ~. C~ I $~re ~ ~ subj<t to the ~e~ A~a~ve RM~ ~ t~~~~Ra~on
. t~e ~ for ~g ~d comple~g eo~
s~c~ r~u~t~ by ~s app~cauon ~ comply ~, ~d co~o~ to, ~ app~cable hws of ~e State of
~ - 1993~ (Z-289) ~ m~, adopted und~ au~oN~ of LC. 36-7 et ~, G~ As~bly of ~e S~te of ~, ~d ~ Ac~ am~to~
~ ~pl~ unffi~ C~te o[Oceu~cy ~ ~n ~u~ by ~e ~p~t of Co--uMw Se~c~ ~, InCa,
Lower FooUng Under Slab "d Reviews
Cert. of Occupancy: ____~__~i~~
Meter Base F~al~..~ P.R.I F / , AddiUon'al Fees
<~__~ ........... ? ~/~!'. OTA~L:
.